Vida Tyrese Smith

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

20 Rosewood LN
Newport News, VA 23602-5414

Phone

(180) 439-3241

Fax

(804) 800-4066

NPI assigned

Sep 12, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1982326401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ROSEWOOD LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236025414",
            "telephone_number": "180-439-3241",
            "fax_number": "804-800-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ROSEWOOD LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236025414",
            "telephone_number": "180-439-3241",
            "fax_number": "804-800-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VIDA",
        "middle_name": "TYRESE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite Regina Smith, M.S., CF-SLP
• Nicole Smith, PHARMD
• Samantha Ilia Smith, DO
• Sasha Yaloa Smith, CRNA
• Tyrone Smith
• Vincent John Smith, MD
• William Dennis Smith, LMFT
• Zachary Allen Smith, MD
• Isabelle Turner Smoot, FNP
• Marchelle Renee Smucker

• Driver in Newport News, VA
• Providers in Newport News, VA by specialty
• Driver in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.